Diagnostics, Risk Factors, Treatment and Outcomes of Acute Kidney Injury in a New Paradigm

Acute kidney injury (AKI) is a common clinical condition among patients admitted in the hospitals. The condition is associated with both increased short-term and long-term mortality. With the development of a standardized definition for AKI and the acknowledgment of the impact of AKI on patient outc...

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Bibliographic Details
Published in:Journal of clinical medicine 2020-04, Vol.9 (4), p.1104
Main Authors: Thongprayoon, Charat, Hansrivijit, Panupong, Kovvuru, Karthik, Kanduri, Swetha R, Torres-Ortiz, Aldo, Acharya, Prakrati, Gonzalez-Suarez, Maria L, Kaewput, Wisit, Bathini, Tarun, Cheungpasitporn, Wisit
Format: Article
Language:English
Subjects:
Clinical medicine
Electronic health records
Hospitalization
Kidney diseases
Medical prognosis
Mortality
Oliguria
Patients
Renal replacement therapy
Risk factors
Urine
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Summary:Acute kidney injury (AKI) is a common clinical condition among patients admitted in the hospitals. The condition is associated with both increased short-term and long-term mortality. With the development of a standardized definition for AKI and the acknowledgment of the impact of AKI on patient outcomes, there has been increased recognition of AKI. Two advances from past decades, the usage of computer decision support and the discovery of AKI biomarkers, have the ability to advance the diagnostic method to and further management of AKI. The increasingly widespread use of electronic health records across hospitals has substantially increased the amount of data available to investigators and has shown promise in advancing AKI research. In addition, progress in the finding and validation of different forms of biomarkers of AKI within diversified clinical environments and has provided information and insight on testing, etiology and further prognosis of AKI, leading to future of precision and personalized approach to AKI management. In this this article, we discussed the changing paradigms in AKI: from mechanisms to diagnostics, risk factors, and management of AKI.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm9041104